WebAug 23, 2024 · Two commercial payers have announced that they will stop reimbursing E/M services consultation codes CPT 99241-99255. UnitedHealth announced in its newsletter March 2024, that it would match Medicare’s policy to stop recognizing and paying for consultations. “Effective with dates of service of June 1, 2024, UnitedHealthcare will no … WebNewsroom News Anthem Blue Cross discontinues payment of consultation services. March 16, 2024. Anthem Blue Cross is the latest payor to halt the reimbursement of …
Provider Communications
WebOct 28, 2024 · Physicians may bill initial hospital care service codes (99221-99223), for services that were reported with CPT ® consultation codes (99241 – 99255) prior to … WebGet answers to your questions about eligibility, benefits, authorizations, claims status and more. Go to Availity Portal and select Anthem from the payer spaces drop-down. Then … shiocton football score
Reimbursement policy update: Consultations
WebFeb 19, 2024 · 14. Best answers. 0. Aug 8, 2024. #1. We had a claim for 99222 that was denied by Aetna since another provider had billed for it first. We are the attending physician (and was the one who asked for a consult with the other provider) so I appended the modifier -AI, sent in the corrected claim with reconsideration form but they still denied it. WebJan 15, 2024 · These frequently asked questions (FAQ) were developed to answer questions about Independence Blue Cross’s (Independence) new position regarding reimbursement for consultation codes as outlined in Claim Payment Policy #00.01.69: Consultation Services.* This document will be updated as additional information … WebDec 20, 2024 · Recover or recoup the claim payment. Anthem reimbursement policies are developed based on nationally accepted industry standards and coding principles. These policies may be superseded by mandates in provider or state contracts, or state, federal or CMS requirements. System logic or setup may prevent the loading of policies into the … shiocton elementary school